メッケル憩室穿孔に口側回腸穿孔を合併した新生児の一治験例

概要

論文の詳細を見る
Neonatal perforation of Meckel's diverticulum is very rare and the number of reported cases in Japan including ours were only 18. We report a rare of perforation of Meckel's diverticulum complicated by oral perforation of ileum. The infant was a six-day-old girl. She was born at gestational age of 35 weeks, with body weight 'of 2,300 g and Apgar score 10. After the start of oral feeding vomitting and abdominal distension appeared. Abdominal radiograph showed free air and a large number of small calcareous picture in the right abdomen. She was diagnosed as meconium peritonitis and had. emergency surgery. Two small perforations were found at the wall of Meckel's diverticulum and at the ileal wall about 3 cm oral to it. From the X-ray findings of small calcareous picture in the abdomen and the out-flow of small calcareous matter from the perforated portion of diverticulum during operation perforation of Meckel's diverticulum was considered to have occured at embryonal stage and have subsequently induced the perforation of the. oral portion of the ileum.
日本小児外科学会の論文
1987-10-20